Canadian Journal of Ophthalmology最新文献

Integrating AI with tele-ophthalmology in Canada: a review. 加拿大将人工智能与远程眼科相结合：综述。

Canadian Journal of Ophthalmology Pub Date : 2024-09-07 DOI: 10.1016/j.jcjo.2024.08.013

Michael Balas,Jonathan A Micieli,Jovi Wong

{"title":"Integrating AI with tele-ophthalmology in Canada: a review.","authors":"Michael Balas,Jonathan A Micieli,Jovi Wong","doi":"10.1016/j.jcjo.2024.08.013","DOIUrl":"https://doi.org/10.1016/j.jcjo.2024.08.013","url":null,"abstract":"The field of ophthalmology is rapidly advancing, with technological innovations enhancing the diagnosis and management of eye diseases. Tele-ophthalmology, or the use of telemedicine for ophthalmology, has emerged as a promising solution to improve access to eye care services, particularly for patients in remote or underserved areas. Despite its potential benefits, tele-ophthalmology faces significant challenges, including the need for high volumes of medical images to be analyzed and interpreted by trained clinicians. Artificial intelligence (AI) has emerged as a powerful tool in ophthalmology, capable of assisting clinicians in diagnosing and treating a variety of conditions. Integrating AI models into existing tele-ophthalmology infrastructure has the potential to revolutionize eye care services by reducing costs, improving efficiency, and increasing access to specialized care. By automating the analysis and interpretation of clinical data and medical images, AI models can reduce the burden on human clinicians, allowing them to focus on patient care and disease management. Available literature on the current status of tele-ophthalmology in Canada and successful AI models in ophthalmology was acquired and examined using the Arksey and O'Malley framework. This review covers literature up to 2022 and is split into 3 sections: 1) existing Canadian tele-ophthalmology infrastructure, with its benefits and drawbacks; 2) preeminent AI models in ophthalmology, across a variety of ocular conditions; and 3) bridging the gap between Canadian tele-ophthalmology and AI in a safe and effective manner.","PeriodicalId":501659,"journal":{"name":"Canadian Journal of Ophthalmology","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time to pars plana vitrectomy in adults with retained lens fragments: a systematic review and meta-analysis. 成人晶状体碎片滞留者行玻璃体旁切除术的时间：系统综述和荟萃分析。

Canadian Journal of Ophthalmology Pub Date : 2024-09-07 DOI: 10.1016/j.jcjo.2024.08.008

Michelle Lim,Irina Sverdlichenko,Elizabeth Y Wei,Andrew Mihalache,Marko M Popovic,Mohammed Alfalah,Miguel Cruz Pimentel,Rajeev H Muni,Peter J Kertes

{"title":"Time to pars plana vitrectomy in adults with retained lens fragments: a systematic review and meta-analysis.","authors":"Michelle Lim,Irina Sverdlichenko,Elizabeth Y Wei,Andrew Mihalache,Marko M Popovic,Mohammed Alfalah,Miguel Cruz Pimentel,Rajeev H Muni,Peter J Kertes","doi":"10.1016/j.jcjo.2024.08.008","DOIUrl":"https://doi.org/10.1016/j.jcjo.2024.08.008","url":null,"abstract":"INTRODUCTIONThis review and meta-analysis compare visual outcomes and complication risk based on the timing of pars plana vitrectomy (PPV) following cataract surgery with retained lens fragments.METHODSMEDLINE (Ovid), EMBASE, and Cochrane Library were searched between 2000 to February 2022 for studies comparing visual outcomes and complications based on time to PPV. Discrete outcomes were analyzed using a random-effects meta-analysis model on Review Manager (RevMan 5.4). The certainty of evidence of outcomes was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation approach.RESULTSTen studies and 1,693 eyes were included. The incidence of patients achieving a final best-corrected visual acuity (BCVA) of >6/12 Snellen may be similar among patients receiving PPV within 1 week or after 1 week of cataract surgery (RR = 1.06, 95% CI = [0.96, 1.17], p = 0.25), and patients receiving PPV within 1 month or after 1 month of cataract surgery (RR = 1.12, 95% CI = [0.95, 1.32]; p = 0.18). Incidence of glaucoma or elevated intraocular pressure for patients may be similar among patients receiving PPV within 1 week or after 1 week of cataract surgery (RR = 1.08, 95% CI = [0.62, 1.87]; p = 0.79), and patients receiving PPV within 1 month or after 1 month of cataract surgery (RR = 0.33, 95% CI = [0.09, 1.23]; p = 0.10).CONCLUSIONIncidence of patients achieving a final BCVA of >6/12 Snellen or postoperative adverse effects was similar between patients who underwent early and late PPV following cataract surgery. However, all studies had an overall serious risk of bias, primarily because of confounding and reporting bias.","PeriodicalId":501659,"journal":{"name":"Canadian Journal of Ophthalmology","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Appointment patterns and patient perspectives in corneal telemedicine. 角膜远程医疗的预约模式和患者观点。

Canadian Journal of Ophthalmology Pub Date : 2024-09-06 DOI: 10.1016/j.jcjo.2024.08.012

Alison Banwell,Stephanie Baxter

引用次数: 0

Attitudes of Canadian ophthalmology residents on rural and indigenous ophthalmology education. 加拿大眼科住院医师对农村和土著眼科教育的态度。

Canadian Journal of Ophthalmology Pub Date : 2024-09-06 DOI: 10.1016/j.jcjo.2024.08.009

Hamza Inayat,Tara Gholamian,Jillian Bertrand,Emma Hiller,Natalie Mezey,Jobanpreet Dhillon,Nishaant Bhambra,Myrna Lichter

引用次数: 0

Ocular screening for chronic graft-versus-host disease in patients with allogeneic hematopoietic stem cell transplant 异体造血干细胞移植患者慢性移植物抗宿主疾病的眼部筛查

Canadian Journal of Ophthalmology Pub Date : 2024-05-01 DOI: 10.1016/j.jcjo.2024.04.005

Bryan G. Pearson, Ray S. Cortez, Karima S. Khimani, Praveena K. Gupta

引用次数: 0

Visual impairment, employment status, and reduction in income: the Canadian Longitudinal Study on Aging 视力障碍、就业状况和收入减少：加拿大老龄问题纵向研究

Canadian Journal of Ophthalmology Pub Date : 2024-05-01 DOI: 10.1016/j.jcjo.2024.04.006

Emma Iverson, Mahadeo Sukhai, Matthew P. Quinn, M. Aubin, Ellen E. Freeman

引用次数: 0

Cystoid macular edema after vitrectomy and after phacovitrectomy for epiretinal membrane 玻璃体切除术后和视网膜外膜相切除术后的囊样黄斑水肿

Canadian Journal of Ophthalmology Pub Date : 2023-12-22 DOI: 10.1016/j.jcjo.2023.11.020

Sung Who Park, Hui Kyung Kim, Moosa Hasan Zaidi, Ik Soo Byon, Ji Eun Lee, Quan Dong Nguyen

{"title":"Cystoid macular edema after vitrectomy and after phacovitrectomy for epiretinal membrane","authors":"Sung Who Park, Hui Kyung Kim, Moosa Hasan Zaidi, Ik Soo Byon, Ji Eun Lee, Quan Dong Nguyen","doi":"10.1016/j.jcjo.2023.11.020","DOIUrl":"https://doi.org/10.1016/j.jcjo.2023.11.020","url":null,"abstract":"<h3>Objective</h3><p>To compare the incidence of cystoid macular edema (CME) after vitrectomy and CME after phacovitrectomy in patients requiring epiretinal membrane (ERM) removal.</p><h3>Design</h3><p>A retrospective, comparative, interventional study.</p><h3>Methods</h3><p>Medical records of patients who had undergone vitrectomy or phacovitrectomy for ERM removal by a single surgeon were retrospectively reviewed. Phacovitrectomy was performed in all phakic eyes and vitrectomy was performed in all pseudophakic eyes. Increased macular thickness (IMT) was defined as an increase in macular thickness by more than 10% at the postoperative week 4 visit compared to the measurements at baseline.</p><h3>Results</h3><p>There were 214 and 53 eyes in the Phacovitrectomy group and the Vitrectomy group, respectively. IMT occurred in 15.4% of the Phacovitrectomy group, which was higher than the incidence of 3.8% in the Vitrectomy group (p=0.023).</p><h3>Conclusions</h3><p>IMT, that is suspected to be a type of CME, was not uncommon (15.4%) after phacovitrectomy in phakic eyes but was uncommon (4.8%) after vitrectomy alone in pseudophakic eyes. Irvine-Gass syndrome appears to be triggered by crystalline lens removal itself rather than intraocular surgery or surgical trauma alone.</p>","PeriodicalId":501659,"journal":{"name":"Canadian Journal of Ophthalmology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139028632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survival and characteristics of retinopathy of prematurity in micro-premature infants 微早产儿的存活率和早产儿视网膜病变的特征

Canadian Journal of Ophthalmology Pub Date : 2023-12-21 DOI: 10.1016/j.jcjo.2023.11.023

Kenneth T. Eng, Parampal S. Grewal, Avner Hostovsky, Amrit S. Rai, Hatim Batawi, Alaa Alali, Peter J. Kertes, Asaph Rolnitsky

{"title":"Survival and characteristics of retinopathy of prematurity in micro-premature infants","authors":"Kenneth T. Eng, Parampal S. Grewal, Avner Hostovsky, Amrit S. Rai, Hatim Batawi, Alaa Alali, Peter J. Kertes, Asaph Rolnitsky","doi":"10.1016/j.jcjo.2023.11.023","DOIUrl":"https://doi.org/10.1016/j.jcjo.2023.11.023","url":null,"abstract":"<h3>Objective</h3><p>To describe the risk and nature of retinopathy of prematurity (ROP) in micro-premature infants (≤26 weeks’ gestational age [GA]).</p><h3>Methods</h3><p>Retrospective analysis of prospectively collected data from infants born at 22–26 weeks’ GA over a 5-year period.</p><h3>Results</h3><p>A total of 502 infants were identified, of whom 414 survived to discharge (82.5%). The Vermont Oxford Network database documented clinical follow-up data and ROP outcomes for all 414 patients; complete ROP clinical records were available for 294 of the infants who survived (70.8%). Forty infants were born between 22 and 23 weeks’ GA (group A, 13.6%), and 254 were born between 24 and 26 weeks’ GA (group B, 86.4%). Survival for group A infants was worse than that of group B infants (66.2% vs 85.4%; <em>p</em> < 0.01). Survival of group A infants improved during the study period (<em>R</em><sup>2</sup> = 0.625). Overall, 59.9% of infants developed any ROP and 8.5% developed type 1 ROP. Group A infants were more likely to develop ROP (90.0% vs 48.6%; <em>p</em> < 0.01) and type 1 ROP (30.0% vs 5.1%; <em>p</em> < 0.01) than group B infants. Group A infants developed ROP at an earlier age (32 + 6 weeks vs 33 + 3 weeks; <em>p</em> = 0.02) and were more likely to have zone I disease on presentation (65.0% vs 20.5%; <em>p</em> < 0.01), but there was no difference in the corrected gestational age of peak severity of ROP (35 + 2 weeks vs 34 + 5 weeks; <em>p</em> = 0.36).</p><h3>Conclusion</h3><p>The most premature infants, born at 22–23 weeks’ GA, develop ROP at an earlier age, are more likely to present with posterior disease, and have a high risk of disease requiring treatment.</p>","PeriodicalId":501659,"journal":{"name":"Canadian Journal of Ophthalmology","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139028623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient perspectives on ocular oncology care at hybrid telehealth satellite offices 患者对混合远程医疗卫星办公室眼部肿瘤治疗的看法

Canadian Journal of Ophthalmology Pub Date : 2023-12-21 DOI: 10.1016/j.jcjo.2023.11.005

Charlotte N. Shields, Chenab K. Khakh, G. Brandon Caudill, Carol L. Shields

{"title":"Patient perspectives on ocular oncology care at hybrid telehealth satellite offices","authors":"Charlotte N. Shields, Chenab K. Khakh, G. Brandon Caudill, Carol L. Shields","doi":"10.1016/j.jcjo.2023.11.005","DOIUrl":"https://doi.org/10.1016/j.jcjo.2023.11.005","url":null,"abstract":"<h3>Objective</h3><p>To assess patient satisfaction with the hybrid telehealth model in patients undergoing follow-up care in ocular oncology.</p><h3>Design</h3><p>Retrospective survey study.</p><h3>Participants</h3><p>All patients who visited 1 of 2 satellite telehealth offices between July 2021 and October 2022 for their follow-up ocular oncology appointment.</p><h3>Methods</h3><p>A 13-question online survey was completed for outcome measures of patient demographics, patient satisfaction with the satellite offices, and overall patient experience with telehealth.</p><h3>Results</h3><p>The survey response rate was 32% (203 of 632)<em>.</em> The mean patient age was 65 years (median, 65 years), and 119 patients (58%) were female. A comparison (suburban satellite vs urban in-person office) revealed that the suburban satellite office had less difficulty in travel (3% vs 47%; <em>p</em> < 0.001) and less time commitment (<1 hour) for travel to the office (58% vs 23%; <em>p</em> < 0.001). On a scale (i.e., poor, fair, good, or excellent), the percentage of patients reported the following parameters as good or excellent: ease of finding satellite office (95%), check-in (94%), and time spent waiting for the doctor (72%). On a scale (i.e., extremely dissatisfied to extremely satisfied), the percentage of patients reported being extremely satisfied to the following parameters: the staff (81%) and the office overall (65%). Most patients (90%) would use this telehealth model for future visits (<em>p</em> < 0.0001), and 86% would recommend it to a friend (<em>p</em> < 0.0001).</p><h3>Conclusion</h3><p>In this study on a hybrid telehealth satellite office model for ocular oncology follow-up examinations, patient satisfaction was high, most patients would use this form of examination in the future.</p>","PeriodicalId":501659,"journal":{"name":"Canadian Journal of Ophthalmology","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139028664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient perspectives on ocular oncology care at hybrid telehealth satellite offices 患者对混合远程医疗卫星办公室眼部肿瘤治疗的看法

Canadian Journal of Ophthalmology Pub Date : 2023-12-01 DOI: 10.1016/j.jcjo.2023.11.005

Charlotte N. Shields, Chenab K. Khakh, G. B. Caudill, Carol L. Shields

引用次数: 0